SOUVENIR
PRODUCT
ORDER SEARCH FORM
- PRINT AND MAIL THIS ORDER FORMComplete sign and mail order form. Forms not signed
discarded.
If field does not apply, leave blank.

Please use the fields below
to include all information pertaining to your order. Information which is
not relevant
to your order will automatically be
purged when your order is completed. Enclose any
further info if needed.

ANY CUSTOM SOCIAL SECURITY CARD: NOW ONLY: US $65AUD $70 CDN
$65 GBP £40 EURO €45Please use the fields below
to include all information pertaining to your order. Information which is
not relevant to your order will automatically be
purged when your order is completed.
Please specify product state:

NAME AS REQUIRED
ON CARD : FIRST
MIDDLE
LAST

SOCIAL CARD NUMBER: (OPTIONAL)
IF NUMBER NOT PROVIDED ONE WILL BE AUTOMATICALLY
GENERATED

PAYMENT
IN ANY OF ABOVE CURRENCIES BY: CASH ___TRAVELER
CHECKS
FOR
FASTEST SERVICE
OR INTERNATIONAL POSTAL MONEY ORDERS____ NO
PERSONAL CHECKS OR US LOCAL POSTAL MONEY ORDERS WE
DO ACCEPT US POSTAL OFFICE INTERNATIONAL MONEY
ORDERS ONLYAll Checks will be held for 30 days and order shipped after clearance

Terms and Conditions: I state I am the person whom I represent myself to be herein, and I affirm the information within this product application is complete and accurate. I represent, warrant and covenant that: I am at least eighteen years of age and have the full right and authority to enter into this Agreement. I do not reside in any country to which import of souvenir design products are prohibited or restricted. I will not use any of the souvenir software designs in any manner prohibited by any laws, restrictions or regulations. My use of the souvenir design prints does not violate any applicable law or regulation of the country, state, or other governmental entity in which I reside and accept full responsibility for the accuracy of the information contained in this application as solely mine. I
without reservation or
restriction understand fully
that you are not an
an
issuing authority of any
governmental entity or agency
that is authorized to issue
official identification
documents, means of official
identification, or
authentication features.
Any original designs are sold
for novelty, commemorative,
celebratory, commemoratory,
dedicatory, in memory, in
remembrance, memorial, observing
as a memento, or for a
collection or exhibit, for
decorative purposes, for a
dramatic presentation, such as a
theater, film, or television
production or for for any other
recreational, souvenir or
amusement purpose, and not for
any legal or official purpose,
and any souvenir design is not an authentication feature issued by or under the authority of any government, state, political subdivision of a state, a foreign government, political subdivision of a foreign government, an international governmental or an international quasi-governmental organization.
I expressly acknowledge you
reserve the right to change,
modify, update or discontinue
any design for any reason and
elect to replace any design with
an alternate design as updates
become available. I understand
any souvenir product is not to
be used for any official
purpose, or to use, deal with or
act upon it as if they were genuine, or to induce
any person by the belief that it
is genuine. I understand the use or mention of any
product name, image or trademark
on your web site is in no way
intended to suggest that any
novelty product is an officially
issued design as all images are
trademarks or registered
trademarks of original
designers, and are for reference
only.

By signing this agreement, I attest, affirm, and my signature below serves as evidence that I, the bearer/purchaser, agree to the aforementioned agreement in its entirety and do hereby certify and accept all the terms and conditions contained herein, and agree to be bound by its terms and conditions.

NO FEDEX, UPS,
USPS EXPRESS OR PRIVATE COURIER ACCEPTED. USE YOUR LOCAL POST OFFICE MAIL OR Priority
International Mail or British Royal ExpressFOR FASTEST SERVICE. MAIL YOUR ORDER FORM
AND PAYMENT TO ADDRESS BELOW: If
sending international money
order or traveler checks leave
the 'Pay to:' / 'Payee:' / 'Pay
to the order of:' field blank.
Do not
enter our mailing address
in the payee fieldGLOBAL MAIL REDIRECTION34152 STN DVANCOUVER, BCCANADA V6J 4N2